DR. NATHAN L THORNTON (NPI# 1780870360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780870360 |
| Entity Type | Individual |
| Full Name | DR. NATHAN L THORNTON |
| Credential | MD |
| Practice Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083812088 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
M-12167 | ID | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
5767776-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1780870360 | 05 |
| Street Address |
190 E BANNOCK ST |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586794 | St Lukes Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2005-05-23 |
| 1275133944 | St Lukes Health System Ltd | General Acute Care Hospital | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-30 |
| 1750980017 | Andrea Johnson Murray | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-19 |
| 1679180103 | Katie Marie Pond | Social Worker | 190 E Bannock St, Boise, ID 83712-6241 | 2020-09-29 |
| 1780297762 | Alexandria Marie Schultz | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-28 |
| 1225640048 | Tania Michelle Villanueva-sanchez | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-21 |
| 1154931426 | Brittany Nichole Galop | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-08-03 |
| 1558970046 | Emily Michelle Bush | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-30 |
| 1699393447 | Chadd Miller Ramos | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2020-07-08 |
| 1740819127 | Lindzee Searle | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144269747 | Stewart Lawrence | Pediatrics | 6030 W Emerald St, Boise, ID 83704-8855 | 2006-06-06 |
| 1558495796 | James W Vanlooy | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2007-03-16 |
| 1598828378 | Erik N Meyers | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-12-19 |
| 1629000716 | Scott A Snyder | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-07-07 |
| 1265461198 | Cynthia Edstrom | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-07-02 |
| 1922037852 | Charlene A Crichton | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-07-02 |
| 1366488058 | Nick E Harper | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-21 |
| 1457395477 | Ronald W Coen | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-16 |
| 1629016043 | Declan P O'riordan | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-04 |
| 1326002189 | Jennifer R Merchant | Pediatrics | 1055 N Curtis Rd, Boise, ID 83706-1352 | 2006-04-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.